MedicaidPrior AuthMedium impact
26-469 New Documentation Requirements for Medically Tailored Meal Services
Health Net·CA · Family Medicine, Internal Medicine, General Practice +2 more·Prior Authorization
Effective date
Jun 18, 2026
We identified it
Jun 20, 2026
Summary
Health Net/CalViva Health now requires nutrition assessments completed within 30 days for all Medically Tailored Meal (MTM) and Medically Supportive Food (MSF) prior authorization requests. Service extensions require additional clinical documentation showing continued benefit, plus current nutrition assessments and provider order forms.
Action Required
By June 18, 2026: Update prior authorization workflows to ensure all MTM/MSF requests include nutrition assessments completed within 30 days of submission. For service extensions, billing team must collect and submit clinical documentation (medical notes, lab results), current nutrition assessments, and provider order forms. Download updated MTM/MSF Authorization Form from CalAIM Resources page beginning June 24, 2026. Incomplete documentation will result in delays or denials.